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Associated with depression, fatigue, memory difficulties. Worsening cholesterol profile, increased risk of heart disease.

Muscle loss, body aches, and prolonged recovery time from exercise.

Diminished sexual desire, decreased erectile function, and decreased penile size. Male Testosterone Replacement Therapy (TRT) The benefits of low T treatment and therapy include increased energy and strength, increased muscle mass, decreased osteoporosis, improved cholesterol profile, lowered blood sugars, improved sexual function, and increased longevity.

A decrease in sex drive or erectile dysfunction suggests low T. Other symptoms include decreased energy or strength, decreased enjoyment of life, sadness or grumpiness, falling asleep after dinner, or a recent loss in work performance.

The Adam Questionnaire is a sensitive tool used to screen for low T.

Yes, when prescribed and managed by a licensed physician.

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Your clearance may require you to disclose prescribed medications to your agency. Do I need to go to my regular doctor for a referral first?

VanAntwerp performs all necessary screening and exams.

You will receive an order for comprehensive blood work when buy generic viagra tablets you book your consultation. Results will be reviewed at your complimentary history and physical. My doctor told me that my testosterone levels are fine but I show some of the symptoms of Low T. All complaints require a detailed history and physical.

We frequently see patients who have been told that they have a “normal” testosterone level who in fact have Low T.

To have have a complete understanding of male sex hormones the following tests must be performed: albumin, total testosterone, free testosterone, bioavailable testosterone, sex hormone binding globulin, estradiol, luteinizing hormone, and follicle stimulating hormone. In the past, physicians rarely even checked testosterone levels in men ages 35-50, but times have changed.

TRT MD frequently provides low T treatment and therapy for men between the 35-50 years old. The reasons for this shift can include a variety of reasons that are not all completely understood. However, some of them include environmental toxins, opioid prescriptions, marijuana use, and sedentary lifestyles. Low T results in weight gain, muscle loss, depression,

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Testosterone therapy and treatment can restore the zest and drive we knew as younger men. Dual Board Certification in Internal Medicine and Clinical Preventive Medicine Professor of Medicine at Philadelphia College of Osteopathic Medicine Clinical Fellow at Johns Hopkins University. At TRTMD Health Clinic we can boost your immune system with Thymosin Alpha 1.

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Testosterone Replacement Restores Vitality and Improves Health. The maxim that men are like wine, the best improve with age is true regarding many aspects of manhood including financial stability, confidence, and wisdom. Unfortunately, this upward curve does not apply… Testosterone Replacement Therapy Reverses Low T Symptoms.

We’re asked frequently “Does Testosterone Replacement Therapy Reverses Low T Symptoms?” We commonly associate the changes that our bodies go through with being “normal aging”, as if these changes are… Testimonials. I found that I had reached a plateau in my physical conditioning, was generally tired, and had reduced levels of energy.

After careful consultation with me and in review of my lab work, Dr. VanAntwerp started me on a course of testosterone treatment.

I have found that I wear my belt on the 4th hole, instead of the first; I have lost fifteen pounds, and have leaned up greatly; and that my energy levels are on the rise again.

In addition to the physical benefits described, I have found my mood to be more positive, and have seen phenomenal changes in my blood work - my lipid numbers are significantly better, there has been no change in my PSA score, and overall my blood chemistry is much closer to normal than it has been in a long time.

The staff is great, I trust their medical advice and care, and they treat me like family.

It is well worth looking in to this course of treatment if you are in a rut, work in a stressful occupation, or find yourself a half-step behind how you used to be. Bio-Functional Medicine… Bio-Identical Hormones, Functional Medicine, Anti-aging.

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Our Raleigh Bio-Idential hormone doctors, Alvin Antony, MD and Jennifer Yap, DO place a strong emphasis on natural solutions, nutritional counseling, hormone balancing, stress reduction and weight loss to achieve energy, vitality and optimal functional performance. Dr Antony has completed additional training on the management of erectile dysfunction and testosterone pellet therapy in men and women.

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Bio-Functional Med is a functional medicine practice with a core mission to break from the traditional symptom based model of medicine. The Bio-Functional Med team restores health and vitality with use of bio-identical hormones, medical grade supplements, hormone and genetic testing, price of sildenafil 50 mg regenerative anti-aging medical techniques, life-style modifications with a de-emphasis on the use of traditional medications. Traditional medicine does not take the time to address the root causes of illness. Without addressing the underlying cause of illness and low energy, symptoms will reoccur.

Additionally, traditional medicine has a strong emphasis on pharmacology to treat symptoms.

This pharmacological approach leads to more symptoms and the addition of more drugs to treat the drug side effects. It is the use rite aid sildenafil of hormones to help resolve symptoms related to hormonal imbalance or decline in hormone production tied to aging. It is weight management based on medical scientific evidence that targets the root causes of obesity and generic sildenafil prices weight gain.

Erectile dysfunction can be a sign of a physical or psychological condition.

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Simple Solutions Can Help Providers Manage Side Effects.

In managing side effects associated with psychotropic drugs, prescribers need to arm themselves with a menu of strategies and opt first for simpler solutions over adding or switching a medication, Rajnish Mago, MD, said at Psych Congress 2020 . In a virtual session he termed as a “call to action” on an often neglected component of prescribing, the editor of SimpleandPractical.com said that for each common side effect, strategies should be classified based on intensity as Level 1, 2, and 3 approaches. The most intensive Level 3 measures should be used only if side effects persist but stopping the offending medication would be problematic, said Dr. Mago, who teaches at SUNY Upstate Medical University, Syracuse, New York, and the University of Pennsylvania, Philadelphia. Mago added that medical professionals often do not focus enough on common everyday side effects such as nausea, dry mouth, and excessive sweating.

These might not be as medically serious as extreme side effects, but often are the issues that lead patients to stop taking a medication or fail to take an effective dose. He reserved time at the end of the session to address the prevalent and much-discussed side effects of sexual dysfunction and weight gain. There is an approximately 25% prevalence of sexual dysfunction associated with antidepressant use where there is no other known cause. The problem may be more severe in women, but prescribers will need to ask women because they are less likely than men to report sexual side effects, Dr.

Only about 10% of patients experiencing sexual dysfunction will see improvement simply by waiting 6 to 18 months.

“Please don't keep telling patients it will get better, because usually it will not,” Dr.

More productive approaches, he suggested, might include drug holidays (effective for sertraline and paroxetine in 50% of cases, according to research), switching to a drug such as bupropion or mirtazapine with fewer sexual side effects, or adding for men a drug to treat erectile dysfunction where appropriate. Mago had one primary message: “Those of you who are not prescribing metformin for metabolic side effects, please consider this. This is a greatly underutilized strategy.” For weight gain associated with second-generation antipsychotics, metformin has demonstrated even greater effectiveness than topiramate, he said.

A 2016 study found that for patients who had gained more than 10% of their baseline weight, metformin resulted in an average weight reduction of 7.5%.

Metformin

Doses of extended-release metformin can start at 500 mg once a day, with increases to an optimal dose of 1000 mg twice a day. A daily multivitamin is advised because metformin can lead to vitamin B12 deficiency, Dr.

Mago discussed starting with basic approaches to managing the effect before opting for more intensive strategies. To manage nausea, the most common cause of treatment discontinuation in antidepressant trials, he suggested first titrating an antidepressant up over one week, or using sustained-release formulations or split dosing.

Ginger root also is effective for combating nausea — “this is not an old wives' tale,” he said. If these approaches do not produce results, Level 2 strategies such as prescription anti-nausea medications may be needed. Ondansetron has been widely used, but mirtazapine works on the same serotonin receptors and may be worth keeping in the menu of options, Dr.

The goal always should remain to “have many options in your back pocket,” he said.

“Systematic Strategies for Managing Common Side Effects (Instead of Stopping or Switching the Medication).” Presented at Psych Congress 2020 : Virtual; September 12, 2020.

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